Health Plan Economics Specialist

Overview

Health Plan Economics Specialist at HCA Healthcare.

Salary Estimate: $99,070.40 - $ / year

Learn more about the benefits offered for this job. Eligibility for benefits may vary by location.

The Health Plan Economics Specialist is responsible for ensuring the accurate and timely preparation of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance of the company, as well as other duties as assigned by the Controller and CFO.

Supervisor: Controller

• Collaborate in the development, implementation, and maintenance of databases, tools and systems that will be used for Health plan Metrics, Analytics and Reporting for a Managed Care organization
• Develop and maintain related reports for Managed Care performance metrics, targets, membership, revenue and medical expense by health plan, Line of Business and Specialty, as a health plan delegated payer
• Ad hoc report development in platforms such as AS400, Cozeva, Excel, SQL, Power BI
• Provide support for Finance, Contracting, Planning, Budget and Forecasting, and Monthly Performance
• Work with Finance, Medical Management, Contracting, IT and Claims departments
• Provide support for and attend health plan Joint Operating Committees
• Attend Health plan contract negotiations
• Maintains strictest confidentiality
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”

• Bachelor’s Degree in Accounting, Finance, Business Administration, Healthcare Administration or other business related field – required

• Experience in Health Care and Managed Care
• Five to six years of experience in a Finance or Accounting position preferred

Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 resident and fellowship programs. We support HCA Healthcare's commitment to the care and improvement of human life.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.